Bilingual Care Coordinator, Transition of Care (Remote, Mon-Fri, 8am-5pm Pacific
California or Pacific Time Zone, Pacific TimeFull-TimeMiddle
Salary not disclosed
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Job Details
- Languages
- English, Spanish
- Experience
- Minimum 1 year
- Required Skills
- Microsoft Excel
Requirements
- Minimum 1 year of experience in care coordination, case management, or transitions of care within a health plan, IPA, MSO, or medical office setting
- Experience supporting members/patients with scheduling, authorizations, referrals, and coordination of services (e.g., home health, DME, follow-up care)
- Experience interacting directly with patients/members in a telephonic or care coordination setting
- High School Diploma or GED
- Bilingual English and Spanish
- Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals
- Ability to write routine reports and correspondence
- Communicates effectively using good customer relations skills
- Able to communicate positively, professionally and effectively with others
- Effective problem solving, organizational and time management skills
- Knowledge of Managed Care Plans
- Knowledge of Medi-Cal
- Proficient Computer Skills
- Able to type 35 WPM by 10-key touch (Microsoft Outlook, Excel, Word)
Responsibilities
- Create cases, tasks, and complete documentation in the Case Management module for all Hospital and SNF discharges
- Reach out to members telephonically to assist with referrals, authorizations, home health care (HHC), durable medical equipment (DME), medication refills, and scheduling provider appointments and follow-ups
- Request and upload medical records from PCPs, specialists, hospitals, and other providers, including discharge summaries
- Work as a team with the RN Case Manager to engage and manage a panel of members
- Manage new alerts and update the Case Manager of changes in condition, admission, discharge, or new diagnoses
- Complete and document tasks assigned by nurse
- Establish relationships with members, earn their trust, and act as a patient advocate
- Escalate concerns to nurse if members appear to be non-compliant or there is a change in condition
- Assist with outreach activities to members across all levels of case management programs
- Assist with maintaining and updating member records
- Assist with mailing or faxing correspondence to members, primary care physicians (PCPs), and/or specialists
- Meet specific deadlines by prioritizing tasks according to department policies, standards, and business needs
- Maintain confidentiality of information between and among healthcare professionals
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